Individual
EILEEN FRANCES GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
104 PRESIDENT ST, LYNN, MA 01902-1569
(781) 593-1442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6413
MA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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